上海市宝山区社区吸毒人群艾滋病、丙型肝炎及梅毒感染状况

Infection Status of HIV/AIDS,HCV and Syphilis among Drug Addicts in Community of Baoshan District of Shanghai City

目的了解上海市宝山区吸毒人群艾滋病、丙型肝炎、梅毒的感染状况。方法在"中华人民共和国卫生部和国务院防治艾滋病工作委员会办公室与美国比尔及梅琳达.盖茨基金会艾滋病防治合作项目(以下简称"中盖艾滋病项目")"的经费支持下,通过社工组织动员,对辖区内社区吸毒人员开展调查并静脉采血,对其进行艾滋病、丙型肝炎及梅毒3个项目的血清学检测。结果调查男性357人,女性87人。采集的444份血样中抗-H IV阳性者1例,阳性率0.23%;梅毒快速血清反应素环状卡片试验(以下简称梅毒RPR)阳性者37例,阳性率8.33%;丙型肝炎抗体阳性者292例,阳性率65.77%。男女性别组中,梅毒RPR阳性率分别为6.72%和14.94%,差异有统计学意义(χ2=6.19,P<0.05)。静脉吸毒组的抗-HCV阳性率69.59%,非静脉吸毒组阳性率为52.94%,两者差异有统计学意义(χ2=9.673,P<0.05)。结论吸毒人群是H IV、HCV、梅毒感染的高危人群,应加强对此群体的宣传教育和行为干预。

[Objective]To understand the infection status of HIV/AIDS,HCV and syphilis among drug addicts in community of Baoshan District of Shanghai City.[Methods] Under the financial support of AIDS Prevention and Care Project funded by Ministry of Health and the State Council AIDS Working Committee Office and Melinda Gates Foundation（China and Bill Gates AIDS project）,drug addicts who were encouraged by the organization of social workers were tested serologically for HIV,HCV and syphilis.[Results]Totally 357 male and 87 female were enrolled in this investigation.Of 444 blood samples,The positive rate of anti-HIV,syphilis RPR and anti-HCV was 0.23%（1 case）,8.33%（37 cases） and 65.77%（292 cases）,respectively.The syphilis RPR positive rate of male and female was 6.72% and 14.94%,the difference was significant（χ2=6.19,P0.05）.Anti-HCV positive rate of intravenous drug addicts（69.59%） was significantly different with that of non-intravenous drug addicts（52.94%）（χ2=9.673,P0.05）.[Conclusion]Drugs addicts is the high-risk group of HIV,HCV,and syphilis.It is the necessary to strengthen propaganda,education and behavioral intervention in this group.